Question

A nurse is assisting with the care of a client who has a prescription for 3,000 mL of intravenous fluids over the next 24 hours. The nurse should set the volumetric pump to deliver how many milliliters per hour?

Answer 1

Correct Answers:

125 rnL/hr.

Rationale :

♦️3000 ÷ 24 = 125 mL/hr ♦️This is the correct IV rate for evenly infusing the fluid volume over 24 hours.

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Answer 2

Correct Answers:

2 mL

Rationale :

✅200 ÷ 100 = 2 mL

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Answer 3

Correct Answers:

Grapefruit

Rationale :

♦️Grapefruit juice inhibits CYP3A4 enzymes in the liver, leading to increased serum levels of calcium channel blockers like verapamil. ♦️This can cause toxicity (e.g., bradycardia, hypotension).

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Answer 4

Correct Answers:

Tachycardia.

Rationale :

✅Levothyroxine replaces thyroid hormone. ✅An excessive dose may lead to symptoms of hyperthyroidism, such as tachycardia, nervousness, and weight loss.

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Answer 5

Correct Answers:

"l understand your request to have only male staff members attend to your care."
"It's not appropriate to make such a request. All staff members are trained to provide professional care regardless of gender."
I'll arrange for a male AP to do your personal care since you asked for it".

Rationale :

♦️This response respects the client’s personal and possibly cultural preferences while maintaining professionalism. ♦️ It avoids confrontation and supports client-centered care.

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Answer 6

Correct Answers:

Discard regular insulin if it appears cloudy.

Rationale :

♦️Regular insulin is clear; if it appears cloudy, it may be contaminated or degraded. Cloudy appearance is normal for NPH insulin, not regular.

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Answer 7

Correct Answers:

Patient's platelets 100,000.

Rationale :

♦️Platelet count <150,000 while on heparin may indicate heparin-induced thrombocytopenia (HIT), a potentially dangerous complication. ♦️This should be reported immediately.

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Answer 8

Correct Answers:

Tachycardia

Rationale :

♦️Theophylline toxicity can cause tachycardia, insomnia, and restlessness. ♦️Blood levels should be monitored to avoid toxicity.

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Answer 9

Correct Answers:

Inject the medication into the abdomen above the level of the iliac crest.

Rationale :

♦️Heparin should be given subcutaneously in the abdomen at least 2 inches from the umbilicus. ♦️Avoid massaging the site.

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Answer 10

Correct Answers:

Cleanse the skin before applying a nitroglycerin patch.

Rationale :

♦️Proper skin preparation ensures better absorption and adherence of the patch. ✅ Dirty or oily skin can reduce effectiveness.

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RN Pharmacology~Endocrine & Hematology

No.

1 : A nurse is assisting with the care of a client who has a prescription for 3,000 mL of intravenous fluids over the next 24 hours. The nurse should set the volumetric pump to deliver how many milliliters per hour?

2 : A nurse is preparing to administer cefixime to a patient. The dose is 200 mg PO. Available is cefixime oral suspension 100 mg/mL How many milliliters should the nurse administer? Use a leading zero if it applies. Do not use a trailing zero.

3 : A nurse is reinforcing teaching with a patient who has hypertension and a new prescription for verapamil. The nurse should instruct the patient to avoid taking this medication with which of the following foods?

4 : A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?

5 : A male client tells the nurse that he does not want the female assistive personnel (AP) involved in his care. Which of the following statements should the nurse give?

6 : A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?

7 : A nurse is reviewing laboratory data from a client who has a pulmonary embolism and I receiving IV heparin. Which of the following findings should the nurse report to the provider?

8 : A nurse is reinforcing discharge instructions for a client who has asthma and is about to start taking theophylline. The nurse should instruct the client to monitor which of the following findings is an adverse effect of the medication.

9 : A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?

10 : A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily. Which of the following instructions should the nurse give the client?

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